Testicular Pain: Causes and When to Seek Help - Urology

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Hello, I would like to ask a question.
Recently, my husband has been experiencing sharp pain below his right testicle, which feels like it might be the vas deferens or a blood vessel (he can feel something that seems like a cord).
The pain occurs several times a day, and we are unsure of the cause, so we would like a doctor's insight.
Thank you!

dolphin, 20~29 year old female. Ask Date: 2005/03/30

Dr. Lai Ronghao reply Urology


Hello: Possible causes include 1.
neuropathic pain 2.
varicocele 3.
prostatitis 4.
epididymitis 5.
other skin infections, etc.
It is recommended that your husband visit a hospital for examination.
Sincerely, Dr.
Lai Rong-Hao, Director of Urology, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/03/30

More Info


Testicular pain can be concerning, and it’s important to understand the potential causes and when to seek medical help. The symptoms your husband is experiencing, particularly the sharp pain in the area below the right testicle, could be attributed to several factors, including but not limited to:
1. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicle. It can cause pain and swelling in the affected testicle and is often associated with infections, including sexually transmitted infections (STIs).

2. Testicular Torsion: This is a medical emergency that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea. This condition requires immediate medical attention to prevent permanent damage.

3. Inguinal Hernia: This occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can cause discomfort or pain in the groin or scrotum, especially when bending over, coughing, or lifting.

4. Varicocele: This is an enlargement of the veins within the scrotum, similar to varicose veins. It can cause a dull ache or discomfort, particularly after prolonged standing or physical activity.

5. Hydrocele: This is a fluid-filled sac around a testicle that can cause swelling and discomfort. It is usually not painful but can lead to a feeling of heaviness.

6. Trauma or Injury: Any recent injury to the groin area can lead to pain and discomfort in the testicles.

7. Referred Pain: Sometimes, pain in the testicles can be referred from other areas, such as the lower back or abdomen, due to nerve pathways.

Given that your husband is experiencing recurring pain, it is advisable to seek medical attention. A healthcare provider will likely perform a physical examination and may order imaging tests, such as an ultrasound, to determine the underlying cause of the pain.
It’s important to note that while some causes of testicular pain are benign, others can be serious and require prompt treatment. If your husband experiences any of the following symptoms, he should seek immediate medical attention:
- Sudden, severe pain in the testicle
- Swelling of the testicle
- Nausea or vomiting
- Fever
- Pain that worsens over time
In summary, testicular pain can arise from various conditions, some of which may require urgent care. It’s crucial to monitor the symptoms and consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and ensure better outcomes.

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